Deans' stroke musings: Effects of intensive gait-oriented physiotherapy during early acute phase of stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, April 18, 2020

Effects of intensive gait-oriented physiotherapy during early acute phase of stroke

I see no comparison to the control arm to see how much spontaneous recovery there was. Am I missing something?

Effects of intensive gait-oriented physiotherapy during early acute phase of stroke

Sinikka H. Peurala, PhD;1–2*
Olavi Airaksinen, MD, PhD;3
Pekka Jäkälä, MD, PhD;1
Ina M. Tarkka, PhD;4
Juhani Sivenius, MD, PhD1,4
1 Department of Neurology, Kuopio University Hospital, Kuopio, Finland;
2 Department of Health Sciences, The Finnish Centre for Interdisciplinary Gerontology, University of Jyväskylä, Jyväskylä, Finland;
3 Department of Physical Medicine and Rehabilitation, Kuopio University Hospital, Kuopio, Finland;
4 Brain Research and Rehabilitation Center Neuron, Kuopio, Finland

Abstract—

We assessed the effects and strenuousness of intensive gait-oriented inpatient rehabilitation initiated very early after stroke. Therapy content and interrater reliability of the assessments were also analyzed. Of 22 patients, 19 (average 8.0 d post stroke) completed the study. Before rehabilitation, 13 patients were unable to walk or needed two assistants to walk and6 patients needed one assistant. Patients spent a daily maxi-mum of 1 h therapy time to obtain 20 min of walking. Additional physiotherapy was also provided during the 3 wk therapy period. Seven structured motor tests were recorded before and after rehabilitation and at 6 months post rehabilitation, and perceived exertion was followed during physiotherapy.After rehabilitation, 16 patients could walk unassisted and 3needed one assistant to walk. Mean +/– standard deviation exercise walking distance was 10,784 +/– 4,446 m and exercise was ranked as slightly strenuous. After 3 wk, the patients’ 10 m walking time, ankle spasticity, lower-limb muscle force, and motor scale scores improved (
p < 0.05). The early intensive rehabilitation was well tolerated and only three patients dropped out. Improved motor abilities were seen in all stroke patients.
Clinical Trial Registration
:
ClinicalTrials.gov; Gait Trainervs Traditional Physiotherapy in Acute Stroke, NCT00307762;<http://clinicaltrials.gov/ct/show/NCT00307762>.